The development of finger rehabilitation device for early stage paralyzed stroke survivor / Abdul Hakim Ab Rahim

Functional recovery of upper limb after stroke is crucial to restore the ability to perforin activities of daily living (ADL). This thesis presents a robotic rehabilitation approach based on repetitive passive exercise aimed to help early stage stroke survivors exercise their finger doing extension...

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Bibliographic Details
Main Author: Ab Rahim, Abdul Hakim
Format: Thesis
Language:English
Published: 2016
Online Access:https://ir.uitm.edu.my/id/eprint/17907/2/TM_ABDUL%20HAKIM%20AB%20RAHIM%20EM%2016_5.pdf
https://ir.uitm.edu.my/id/eprint/17907/
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Summary:Functional recovery of upper limb after stroke is crucial to restore the ability to perforin activities of daily living (ADL). This thesis presents a robotic rehabilitation approach based on repetitive passive exercise aimed to help early stage stroke survivors exercise their finger doing extension and flexion at the comfort of their home. This exercise for the finger's muscle is crucial in order to delay if not prevent it from suffering spasticity and contracture which can cause pain to the patient. This research was to obtain the configuration of a finger for kinematic analysis, to design an optimized finger exoskeleton module to assist finger movement, and to evaluate shape memory alloy (SMA) to be used as device actuator. Mathematical simulations of a two compound pendulum which represent simplified model of a finger were done based on Lagrangian equations, controlled using proportional-derivative (PD) feedback controller providing necessary torque to direct the links to mimic actual finger trajectory from flexed to extended position. The maximum value of torque recorded was at at 0.0030Nm for proximal and 0.0027Nm for distal. A new finger rehabilitation mechanical module was designed with the concept of exoskeleton for optimal style of finger handling and ease of use. It focuses on moving two main phalanges of the finger, proximal and medial phalange. The device. Cable Actuated finger Kxoskeleton (CAFFx) deploys Shape Memory Alloy (SMA) wire as an under-actuation approach to deliver the needed 2-DOF movement. The advantages and challenges of using SMA wires rather than conventional actuators are discussed. However, a prototype of another similar finger rehabilitation device. HANDHXOS was fabricated using PLA material and used to validate the actuator working principle. Analysis shows 0.31 mm minimum diameter of SMA wire need to be used to supplv a I2N force to move the prototype Tests conducted on the wires suggest that it must have sufficient weight and must be stretching at high temperature rather than room temperature in order to have an optimum range of recover). However, attempts of recording the wire temperature in real time have not succeeded which constrained a deeper understanding of the wire behavior. The prototype and actuation were successful in proving the concept of giving assistance to extend the finger from flexed position. Further optimization of the design and actuation can bring the CAFEx at a competitive level and ready to be tested on a human subject with the approval of ethics committee.